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Frontal Sinus

Balloon catheter dilation of a septated frontal sinus

April 30, 2018  |  Joseph P. Mirante, MD, MBA, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

Balloon catheter dilation has been associated with symptomatic relief comparable to that associated with traditional endoscopic sinus surgery, but with less tissue destruction.

Endoscopic finding of two osteomas in the frontal sinus

January 14, 2018  |  Jong Seung Kim, MD; Sam Hyun Kwon, MD, PhD

Most osteomas are asymptomatic, so these tumors are often detected incidentally on paranasal CT scans.

Pleomorphic adenoma of the frontal sinus masquerading as a mucocele

December 14, 2015  |  Yok Kuan Chew, MBBS; Sushil Brito-Mutunayagam, MS; Aun Wee Chong, MS; Narayanan Prepageran, FRCS; Patricia Ann Chandran, MPath; Baharudin Khairuzzana, MS; Omkara Rubini Lingham, MS

Abstract

Pleomorphic adenoma is the most common type of benign salivary gland tumor. It can also be found in the larynx, ear, neck, and nasal septum. It is rarely found in the maxillary sinus, and it has never been reported in the frontal sinus. We report a case of pleomorphic adenoma...

A hyperpneumatized frontal sinus with middle meatal obstruction

October 31, 2015  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

In this case, the narrowing of the middle meatus by the hypertrophic polypoid middle turbinate resulted in intermittent frontal sinusitis and headaches.

Endoscopic resection of a mucocele of the crista galli

September 21, 2015  |  Mani Shidanshid, BSc, MBBS; Ali S. Taghi, MBBS, MD, FRCS(ORL-HNS); Romana Kuchai, FRCS; Hesham A. Saleh, FRCS

Abstract

Mucoceles expand by the process of bone resorption and new bone formation, which leads to local destruction and displacement of adjacent structures. We present the case of a 47-year-old woman who presented with recurrent headaches, nausea, and vomiting, all of which were...

Hybrid frontal sinus surgery with balloon dilation and microdebrider resection

August 27, 2015  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

In cases with polyps obstructing the sinus ostia, if a hybrid procedure employing both microdebrider resection and balloon dilation is performed, a satisfactory sinus outflow tract can be obtained.

Frontal recess polyp extending to the posterior choana-a frontal recess-choanal polyp

April 28, 2015  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Frontal recess-choanal polyps, as found in the case described in this report, are rare.

Iatrogenic fracture of the superomedial orbital rim during frontal trephine irrigation

December 19, 2014  |  Douglas Angel, MD; Rebecca Zener, MD; Brian W. Rotenberg, MD, MPH, FRCSC

Frontal sinus trephination (FST) has numerous applications in the treatment of acute and chronic sinus disease. This procedure involves making an incision at the medial aspect of the supraorbital rim and then drilling the sinus's anterior table. Placement of a frontal trephine allows for...

Focal hyperostosis of an intranasal inverted papilloma observed on computed tomography

September 18, 2014  |  Jae-Hoon Lee, MD; Ha-Min Jeong, MD

Precise preoperative identification of the tumor origin is as important as detecting the extent of tumor invasion.

Endoscopic modified Lothrop approach for the excision of bilateral frontal sinus tumors

March 19, 2014  |  Jiun Fong Thong, MRCS; Deyali Chatterjee, MD; Siew Yoong Hwang, FRCS

Abstract

We describe the use of an endoscopic modified Lothrop approach for clearance of an extensive sinonasal-type hemangiopericytoma of the nasal cavity and paranasal sinuses with bilateral frontal sinus involvement in a 44-year-old woman. The modified Lothrop approach is...

Endoscopic closure of a frontocutaneous fistula

October 24, 2013  |  Alexandros Tsikoudas, DLO, FRCS(Otol), FRCS(ORL-HNS); Christos Georgalas, PhD, MRCS, FRCS(ORL-HNS)

Abstract

A frontocutaneous fistula is a rare sequela of frontal sinus pathology. Management via an endoscopic approach is not frequently reported in the literature. We describe such an approach with the aid of still photography and imaging plus videoendoscopy, and we discuss the current...

Glass in the frontal sinus: 28-year delayed presentation

October 24, 2013  |  Alice K. Guidera, MBChB, BSc; Peter M. Dixon, MBBS, FRCS; Hans R. Stegehuis, MBChB, FRACS

Abstract

Reports of delayed presentation of foreign bodies in the frontal sinus are infrequent and likely to become rarer with the widespread availability of computed tomography in the last 2 decades. We present a case in which glass from a road traffic injury was found in the frontal...

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